Dr Clarence Sylvester Davis Iii, MD | |
2720 Sunset Blvd, West Columbia, SC 29169-4810 | |
(803) 791-2460 | |
(803) 791-2519 |
Full Name | Dr Clarence Sylvester Davis Iii |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 43 Years |
Location | 2720 Sunset Blvd, West Columbia, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982633426 | NPI | - | NPPES |
111444 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 11144 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lexington Medical Center | West columbia, SC | Hospital |
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lexington Radiology Associates | 7315342185 | 30 |
Brookdale Hospital Medical Center | 4284545799 | 279 |
Entity Name | Pco Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881230563 PECOS PAC ID: 5395179329 Enrollment ID: O20200116001008 |
Entity Name | Lexington Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Entity Name | Lexington Radiology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063095628 PECOS PAC ID: 7315342185 Enrollment ID: O20210818000577 |
Entity Name | Lansing Radiology Associates P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669425658 PECOS PAC ID: 4486552148 Enrollment ID: O20230724002679 |
Mailing Address | Practice Location Address |
---|---|
Dr Clarence Sylvester Davis Iii, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Dr Clarence Sylvester Davis Iii, MD 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 791-2460 |
Dr. John William Haynes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 508 Hulon Lane, West Columbia, SC 29169 Phone: 803-791-2460 Fax: 803-791-2519 | |
Dr. William Perry Edenfield Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, Radiology Department, West Columbia, SC 29169 Phone: 803-791-2000 Fax: 803-791-2660 | |
Dr. Layne Richard Clemenz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 508 Hulon Lane, West Columbia, SC 29169 Phone: 803-791-2460 Fax: 803-791-2519 | |
Ashley Joy Schlafstein, MD Radiology Medicare: Medicare Enrolled Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2575 Fax: 803-791-2577 | |
Jonathan K West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2460 Fax: 803-791-2519 | |
Nicholas Dean Mayes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2519 | |
Dr. Robert Berry Garris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2460 Fax: 803-791-2519 |